Healthcare Provider Details

I. General information

NPI: 1952636862
Provider Name (Legal Business Name): TANYA LINDSAY PHARMD.
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2009
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 CAMPBELL AVE
WEST HAVEN CT
06516-2770
US

IV. Provider business mailing address

568 AMSTERDAM AVE
NEW YORK NY
10024-2830
US

V. Phone/Fax

Practice location:
  • Phone: 203-932-5711
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number62410
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: